Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2025-03-26-36

Project Information

Project IdentifiersProject ID: 995119
DEA: 034H6004
EFIS: 0319000004
DIST-CO-RTE-PM03-PLA-49-R8.7/R10.6
Award Date12/08/2023
Closeout DateNot set
Work DescriptionCONC BARRIER, JPCP, HMA, RDWY EXC, RCP AND LIGHTING.
Location DescriptionPLACER COUNTY NEAR AUBURN FROM 0.3 MILE SOUTH OF LORENSEN ROAD/FLORENCE LANE TO 0.4 MILE NORTH OF LONE STAR ROAD
QA Service Level1 (Verified on 11/13/2023)

Sample Information

Sample Taken Date03/26/2025 Sample Unique Key36
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing03/27/2025
Sample typeQuality Assurance A brief description of the sample1/2" HMA-SP w/ 15% RAP, PG 64-16
The quantity of what the sample constitutes2 Boxes From where was the sample collectedSource
First name of sampler or witnessed byMike Last name of sampler or witnessed byChittenden
Title of sampler Telephone number of sampler
Laboratory sample identification4931 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Hallwood Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot number1
Sublot number HMA Mix Number30940442407V
Binder content (%)Not set Virgin binder PGNot set
Design binder PGNot set Binder SupplierNot set
RAP content (%)Not set WMA AdditivesNot set
Antistrip typeNot set

Submitted Tests

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